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Key Tools

                            Peter Brambleby photo

                                               Dr Peter Brambleby
                 Former Joint Director of Public Health, NHS Croydon and Croydon


"The SPOT tool, one of the key health investment tools available on this page, gives a local health community a valuable 'challenge to explain' .  In NHS Croydon, we found three programmes in the bottom left hand corner - low spend and poor outcomes.

Two of these, respiratory and endocrine systems, correlated with our view that they did need additional investment and did need improvement in outcomes.  Both were significant drivers of health inequalities too, so investment was part of the solution.  Marginal Analysis advisory groups are being set up in both, drawing on the input of users, referrers, providers and payers.

In other quadrants of the tool we have tried to explain expected and unexpected findings, and in each case it opens up a constructive dialogue about where the money goes, what it does, and how we might spend it better, irrespective of where any programme might sit on the chart.

SPOT is an invaluable tool but should always be interpreted with caution and prompt further investigation before coming to conclusions or action."




Click on the following for a full description and link to the key tools:  

1. Programme Budgeting Benchmarking Tool

2. Spend and Outcome Tool (SPOT)

3. Programme Budget Atlas

4. NHS Comparators

5. Inpatient Variation Expenditure Tool (IVET)

6. Patient Reported Outcome Measure Tool (PROMT)




Programme Budgeting Benchmarking Tool


Click on the following icon to access the programme budgeting tool that enables NHS organisations to identify: how they spend their allocation over the 23 diseases and their respective subcategories; how, and by how much, their expenditure distribution pattern compares with other commissioners nationally, locally or with similar characteristics; and how their expenditure distribution has changed over time. The latest data available relates to 2012/13. Historic tools and additional information relating to the programme budgeting are also available by selecting the icon below.

                  Programme Budgeting Spreadsheet 2009/10 


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Spend and Outcome Tool (SPOT) - UPDATED MAY 2013

Click on the following icon to access a tool that enables PCTs to identify a high level link between expenditure and selected health outcomes; how the expenditure and outcomes compare with other PCTs nationally, within similar demographic areas and other PCTs within its SHA.

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Programme Budgeting Atlas

The programme budgeting atlases enable PCTs to link programme budgeting expenditure data, as presented in the programme budgeting spreadsheet, with a wide range of outcome and activity data.  Data are presented for each programme in the form of interactive maps and correlation plots. The tool is only available to those connected to the NHS network. 
Click on the icon below which takes you to the IC's Indicator Portal.  Click on 'Programme Budgeting Atlases in the left hand pane. Scroll down the right hand side of the screen and choose one of the programme maps to view.

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NHS Comparators

Click on the icon below to access NHS Comparators: a benchmarking tool that has been developed by the Information Centre for Health and Social Care. It enables PCTs, PBCs, GP practices and providers to: investigate detailed variation in activity, costs and outcomes; provide variation over time, at specialty and disease level; examine a wide variety of datasets in the same format including secondary care activity, Quality & Outcomes Framework data, and prescribing (costs and volume).  This link is to the NHS network connection.  Non NHS users can now access the tool but need to contact the Information Centre directly for registration details.


Inpatient Variation Expenditure Tool (IVET) 


Click on the icon below to access an Excel ready reckoner to calculate potential savings by reducing admissions across major disease groups and for interventions with the highest spend. A guide is also provided detailing how to use the tool and emphasising that it should not be used in isolation. This tool was updated in January 2011 and now includes more diseases and high spend HRGs



Step-by-Step Guide



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Patient Reported Outcome Measures Tool (PROMT)

Click on the following icons to access a new tool and analysis providing information and interpretation of Patient Reported Outcome Measures (PROMs) data.  The tool, called PROMT, is the first of its kind designed specifically for commissioners to assist with health investment decisions.

PROMs are currently collected for 4 procedures: hip and knee replacements, groin hernia and varicose veins. The tool, and analysis, enable commissioners to examine the relationship between a range of factors at local level: pre-operative and post-operative health status, health gain, activity volumes, expenditure, and demographic factors.

A step-by-step guide accompanies PROMT. It features a helpful case study using NHS Oldham as an example.


PROMs Analysis


                       PROMs analysis



                       PROMS tool image


Step-by-Step Guide

                               PROMT guide


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